What is the priority nursing intervention for a patient with a junctional escape rhythm?

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Quizplus · Accepted Answer

The priority nursing intervention for a patient with a junctional escape rhythm is to assess the patient for symptoms associated with this rhythm. Symptoms may include dizziness, lightheadedness, shortness of breath, and fatigue. Once symptoms are identified, appropriate interventions can be initiated. While a physician may need to be contacted, this is not the priority nursing intervention. Elimination of caffeine from the diet and preparation for a pacemaker insertion may be appropriate interventions depending on the severity of symptoms and underlying cause of the rhythm.

What Is the Priority Nursing Intervention for a Patient with a Junctional